Department of Pharmacology, Grade III Laboratory of National Administration of Traditional Chinese Medicine, School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui 230032, P.R. China.
Department of Pharmacy, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, P.R. China.
Mol Med Rep. 2024 Jan;29(1). doi: 10.3892/mmr.2023.13136. Epub 2023 Dec 1.
Diabetic kidney disease (DKD), one of the common complications of type‑2 diabetes mellitus (T2DM), has become the principal cause of end‑stage kidney disease. Transient receptor potential channel 6 (TRPC6), one of non‑selective cation channels with significant calcium‑permeability, is associated with renal fibrosis. However, the mechanism of TRPC6 in T2DM‑induced renal fibrosis is still not entirely understood. The present study explored the potential mechanism of knockout in T2DM‑induced renal fibrosis in mice. The results showed that knockout inhibited the loss of body weight and the increase of fasting blood glucose (FBG) and significantly improved renal dysfunction and glomerular fibrosis in T2DM mice. The present study also indicated that knockout significantly lowered the expression of phosphorylated (p‑)SMAD2/3, TGF‑β, calcineurin (CN), nuclear factor of activated T‑cell (NFAT)2 and Nod‑like receptor (NLR) 3 inflammasome‑associated proteins. Calcium imaging results revealed that knockdown could decrease the levels of [Ca] and inhibited calcium homeostasis imbalance. Moreover, it was found that knockout of had no significant influence on lipid disposition and reactive oxygen species generation in the kidney cortex. The present study suggested that knockout of may alleviate glomerular fibrosis and delay DKD progression by reducing [Ca] overload and inhibiting the CN‑NFAT2 pathway in T2DM mice.
糖尿病肾病(DKD)是 2 型糖尿病(T2DM)的常见并发症之一,已成为终末期肾病的主要原因。瞬时受体电位通道 6(TRPC6)是非选择性阳离子通道之一,具有显著的钙通透性,与肾纤维化有关。然而,TRPC6 在 T2DM 诱导的肾纤维化中的作用机制尚不完全清楚。本研究探讨了敲除 TRPC6 在 T2DM 诱导的小鼠肾纤维化中的潜在机制。结果表明,敲除 TRPC6 抑制了体重减轻、空腹血糖(FBG)升高,并显著改善了 T2DM 小鼠的肾功能和肾小球纤维化。本研究还表明,敲除 TRPC6 显著降低了磷酸化(p)SMAD2/3、转化生长因子-β(TGF-β)、钙调神经磷酸酶(CN)、活化 T 细胞核因子(NFAT)2 和 Nod 样受体(NLR)3 炎性体相关蛋白的表达。钙成像结果显示,敲低 TRPC6 可降低 [Ca]水平并抑制钙稳态失衡。此外,还发现敲除 TRPC6 对肾脏皮质中的脂质分布和活性氧生成没有显著影响。本研究表明,敲除 TRPC6 可能通过减少[Ca]过载和抑制 CN-NFAT2 通路来减轻肾小球纤维化并延缓 DKD 进展。